Individual
BABAR MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 THROCKMORTON LN, 2ND FLOOR, OLD BRIDGE, NJ 08857-2572
(732) 607-1111
(732) 607-0552
Mailing address
32 N MAIN ST, MARLBORO, NJ 07746-1429
(732) 462-4100
(732) 462-4549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA049580
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5288100
—
NJ
01
—
MI031798
MEDICARE ID TYPE UNSPECIFIED
NJ
Enumeration date
08/08/2006
Last updated
04/16/2012
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